CAJ | 학술논문

目的：探讨综合性健康教育对维持性血液透析(maintenance hemodialysis,MHD)患者依从性的影响。方法便利抽样法选择2013年1－6月在上海交通大学医学院附属瑞金医院血液净化中心门诊进行 MHD的188名患者为研究对象,根据透析日的不同,将其分为观察组(93例)和对照组(93例),分别给予综合性健康教育和常规健康教育,较两组患者在干预前后的依从性。结果干预1年后,两组患者在错过治疗次数、缩短治疗时间、透析间期体质量增长(interdialytic weight gain, IDWG)及血清白蛋白等方面的差异有统计学意义(P＜0．05或P＜0．01)。结论综合性健康教育能有效改善 MHD患者的依从性,值得临床推广应用。
목적：탐토종합성건강교육대유지성혈액투석(maintenance hemodialysis,MHD)환자의종성적영향。방법편리추양법선택2013년1－6월재상해교통대학의학원부속서금의원혈액정화중심문진진행 MHD적188명환자위연구대상,근거투석일적불동,장기분위관찰조(93례)화대조조(93례),분별급여종합성건강교육화상규건강교육,교량조환자재간예전후적의종성。결과간예1년후,량조환자재착과치료차수、축단치료시간、투석간기체질량증장(interdialytic weight gain, IDWG)급혈청백단백등방면적차이유통계학의의(P＜0．05혹P＜0．01)。결론종합성건강교육능유효개선 MHD환자적의종성,치득림상추엄응용。
Objective To discuss the effectiveness of comprehensive health education on treatment compliances of patients with maintenance hemodialysis.Methods By convenience sampling,188 patients were selected and divided into observation group (n=93)and control group (n=93),and applied with comprehensive health education and conventional health education ,respectively.The compliance of two groups before and after intervention were compared.Results After 1 year of intervention,there were statistical differences in the missing time of therapy,shorten the treatment time,IDWG and serum albumin between two groups of patients (P<0.05 or P<0.01).Conclusion Comprehensive health education can effectively improve the compliance of patients with maintenance hemodialysis,and therefore worth clinical promotion.